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Individual

MS. ELIZABETH VANDENBOGAART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
100 UCLA MEDICAL PLZ STE 630, LOS ANGELES, CA 90024-6997
(310) 825-9011
(310) 825-9012
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
20087
CA
363L00000X
Nurse Practitioner
Primary
20087
CA

Other

Enumeration date
03/11/2013
Last updated
03/02/2026
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